Organization Active NPI

Agape Senior Homes

  • Assisted Living Facility
  • Santa Ana, CA
National Provider Identifier
1225509896
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
AGAPE SENIOR HOMES
Practice address
11442 Newport Ave
Santa Ana, CA 92705-2219
Phone
(714) 393-2308
NPI assigned
Dec 7, 2018
Last updated
Dec 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lonnie Fischer
Title
Administrator
Phone
(714) 393-2308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

11442 Newport Ave
Santa Ana, CA 92705-2219

Mailing address

18032 Lemon Dr # C161
Yorba Linda, CA 92886-3386

Other identifiers 1

IdentifierTypeStateIssuer
306005527OtherCAFACILITY NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544140800000",
    "number": "1225509896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18032 LEMON DR # C161",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11442 NEWPORT AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927052219",
            "telephone_number": "714-393-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE SENIOR HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-07",
        "last_updated": "2018-12-07",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-393-2308"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY NUMBER",
            "identifier": "306005527",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.